Average — CMS composite of the measures below.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Georgia Regional Atlanta Ltc during CMS and state inspections, most recent first.
A paraplegic resident with bilateral BKA, care planned to require a 3-person assist for all transfers, was transferred using a mechanical lift by only two CNAs. The sling was placed and attached to the lift, but one CNA did not recheck the strap connections after adjusting the lift height. During the move from bed to wheelchair, the bottom right sling strap/hook detached, causing the resident to fall to the floor and sustain a closed nondisplaced C6 vertebral fracture confirmed in the ED. Therapy documentation and interviews showed the resident’s 24-hour support plan and care plan both required three staff for manual or mechanical lift transfers, but this individualized requirement was not followed during the incident.
A resident's care plan did not address O2 therapy needs and lacked a problem, goal, or interventions related to O2 use. The MDS Coordinator said O2 should have been triggered and included, while the Administrator stated the facility had never care planned O2 and acknowledged it was omitted from the resident's care plan. The facility also had no policy related to care planning.
Uncovered oxygen cannula left exposed when not in use. A resident with COPD, asthma, and mild neurocognitive disorder had an active order for O2 via NC as needed for SOB or wheezing, with saturations to be maintained at 92-94%. Surveyors observed the NC uncovered and exposed in the resident’s room on multiple occasions. Staff, including a CNA, RN, RT, RT Lead, and the Administrator, stated the NC should be covered or stored in a dated, labeled bag when not in use.
Failure to Follow 3-Person Mechanical Lift Transfer Plan Resulting in Cervical Fracture
Penalty
Summary
The deficiency involves the facility’s failure to follow a resident’s care plan and 24-hour support plan for transfers, resulting in an accident with injury during a mechanical lift transfer. The resident was a paraplegic with bilateral below-the-knee amputations (BKA) who was unable to transfer independently and required either a 3-person manual transfer or a 3-person mechanical lift transfer, as documented in the care plan dated 12/4/2025 and the 24-Hour Support Plan dated 1/13/2026. Despite these documented requirements, only two CNAs participated in the transfer on the date of the incident. According to written statements from the CNAs involved, the resident was dressed, and a sling was placed underneath him and attached to the mechanical lift. One CNA operated the lift to raise the resident from the bed while the other CNA held the chair. During the transfer from the bed to the chair, the bottom right hook/strap of the sling became detached, causing the resident to fall out of the sling onto the floor. One CNA acknowledged that she did not recheck the strap connections after adjusting the height of the mechanical lift and confirmed that only two staff members performed the transfer, even though she knew the resident required three-person assistance. The fall resulted in the resident being sent to the hospital, where an emergency room After Visit Summary documented a closed nondisplaced fracture of the sixth cervical vertebra. The summary noted a linear lucency of the C6 spinous process and included a diagnosis of other closed nondisplaced fracture of the sixth cervical vertebra, initial encounter. Therapy staff reported that they provide functional training and initiate and update 24-hour support plans, and the PT confirmed that this resident required three staff for manual or mechanical lift transfers and that staff had been trained on transfer techniques and positioning. Facility policies on lifting and mechanical lift procedures required at least two staff for mechanical lift use, with a third person to support the head/neck when needed, but the resident’s individualized plan of care specified a three-person assist for all transfers, which was not followed during the incident.
Failure to Care Plan Oxygen Therapy Needs
Penalty
Summary
The facility failed to develop a comprehensive person-centered care plan for R13 that addressed oxygen therapy needs. Record review showed the care plan did not include a problem, goal, or interventions related to O2 use. During interview, the MDS Coordinator stated that O2 use should be triggered and addressed in the care plan and acknowledged that O2 therapy was omitted in error. The Administrator stated he did not believe it was necessary to care plan O2 and said the facility had never care planned O2 in 10 years, while also acknowledging that O2 was not included in R13's care plan. The facility also did not have a policy related to care planning.
Uncovered oxygen cannula left exposed when not in use
Penalty
Summary
Provide and implement an infection prevention and control program was cited after surveyors observed that oxygen equipment was not properly stored when not in use for one resident. The resident had diagnoses including COPD, asthma, and mild neurocognitive disorder due to a known physiological condition with behavioral disturbance. The resident’s MDS assessment showed a BIMS score of 12, indicating moderate cognitive decline. A physician’s order dated 7/11/2025 directed oxygen at 2 LPM via nasal cannula as needed for shortness of breath or wheezing, with oxygen titrated to maintain saturations of 92-94% and oxygen saturations checked every six hours and as needed. Surveyors observed the resident’s nasal cannula uncovered and exposed when not in use during multiple observations in the resident’s room. Staff interviews confirmed the cannula should have been placed in a plastic bag or otherwise covered when not in use. A CNA stated an uncovered cannula could allow germs and bacteria to contaminate the device and be inhaled when reapplied. An RN stated the cannula should have been bagged and acknowledged the potential negative outcome was infection. A RT stated the oxygen equipment should not be stored in the resident’s room unless needed and that the cannula should be covered, and the RT Lead confirmed all nasal cannulas must be stored in a dated, labeled bag when not in use. The Administrator stated the expectation was that nasal cannulas must always be covered when not in use.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Decatur
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pruitthealth - Decatur | 1.5 mi | ★★★★★ | 11 | 0 |
| Glenwood Health Center By Harborview | 3.4 mi | ★★★★★ | 10 | 0 |
| Crossings At East Lake Of Journey Llc, The | 5.6 mi | ★★★★★ | 8 | 0 |
| Decatur Center For Nursing And Healing Llc | 7.4 mi | ★★★★★ | 7 | 0 |
| Harborview Decatur | 7.4 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.